Triangle Cross Ranch

NPI #1730560608 in Powell, Wyoming

Provider Information

NPI Number: 1730560608
Entity Type: Organization
Organization Name: Triangle Cross Ranch
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 428 ROAD 1AF
City: Powell
State: Wyoming
ZIP Code: 82435-8103
Phone: (307) 645-3322

Authorized Official

Name: MICHAEL POLLARD MORSO
Title: PROGRAM DIRECTOR
Phone: (307) 254-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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